Treatment experience of hand degloving injuries in 20 cases

Objective:To discuss the reasonable methods for treating degloving injuries of the hand.Methods:20 cases of hand degloving injuries were treated by operation.16 cases were treated by anastomosing vessels,performing subdermal vascular network flaps,or draining from mini-incisions.Other 4 cases were repaired by abdominal flaps.Results:The follow-up period ranged from 3-12 months.Degloved tissues in 12 cases of in situ replantation survived uneventfully.Other 2 cases had partial necrosis which healed after debridement and dress changing.2 cases of skin necrosis underwent debridement and skin graft.The overall outcomes of the in situ replantation were graded as excellent in 6 cases,good in 6 cases and fair in 4 cases.The satisfactory rate was 75%.All 4 abdominal flaps survived,but the appearance and function of the hand were not satisfactory.Conclusion:It is important to replant the avulsed skin for hand digloving injury whenever possible.